Richardson technique vs. Boyle’s elevator modification technique comparison for abdominal hysterectomy: a RCT
DOI:
https://doi.org/10.18597/rcog.524Keywords:
hysterectomy, hysterectomy technique, Boyle uterine elevator, postoperative pain, postoperative recovery time, ColombiaAbstract
Objective: to compare the Richardson technique for abdominal hysterectomy with the assistance of a modified version of the Boyle uterine elevator, in order to demonstrate that with the latter, patient’s recover y is much faster and they go through less pain.
Methods: a blind, controlled, randomized clinical trial. Setting: Clínica las Américas, Medellín, Colombia (a private institution). Participants: all patients of one health care regimen (“contributivo”) remitted for abdominal hysterectomy or anexohysterectomy under the age of 60 were eligible to participate in the study. All of them were in good state of health and were able to receive general anaesthesia. There were 36 patients per group and 5 were excluded. A modified version of the Boyle uterine elevator was used in 36 of the cases, whereas the Richardson technique was used in the remaining 36. A visual analogue postoperative pain scale was used two weeks following surgery. Recovery time was measured through a daily questionnaire designed for this study for a one month period.
Results: no major statistical or clinical differences were found between the procedures.
Conclusions: no major differences were found between the two techniques. Subjectively, surgeons think better access to the uterus is achieved with the modified version of the Boyle uterine elevator in many patients.
Author Biographies
John Jairo Zuleta
Joaquín Guillermo Gómez
References
Harris WJ, Boyle GC, Adams WF Jr. Initial experience with the Boyle uterine elevator. Obstet Gynecol 1994:84:631-3.
Carlson KJ, Miller BA, Fowler FJ Jr. The Main Women´s Health Study: I. Outcomes of hysterectomy. Obstet Gynecol 1994;83:556-65.
Flanagan PT. Programa estadístico Ralloc. 1986.
Escamilla JO. Minilaparotomy histerectomy-comments. Am J Obstet Gynecol 1999;181:1037-8.
Dicker RC, Greenspan JR, Strauss LT, Cowart MR, Scally MJ, Peterson HB, et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The Collaborative Review of Sterilization. Am J Obstet Gynecol 1982;144:841-8.
Harris WJ. Early complications of abdominal and vaginal hysterectomy. Obstet Gynecol Surv 1995;50:795-805.
Harris WJ, Adams WF, Harvill LM. Complication rates for abdominal hysterectomy using minilaparotomy technique. Journal of pelvic surgery 2001;7:261-5.
Benedetti-Pancini P, Maneschi F, Cutillo G, Scambia G, Congiu M, Mancuso S. Surgery by minilaparotomy in benign gynecologic disease. Obstet Gynecol 1996; 87:456-9.
Hoffman MS, Lynch CM. Minilaparotomy hysterectomy. Am J Obstet Gynecol 1998;179:316-20.
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